Ross Raven E, Garfield Lauren D, Brown Derek S, Raghavan Ramesh
J Health Care Poor Underserved. 2015 Nov;26(4):1081-8. doi: 10.1353/hpu.2015.0129.
American Indian and Alaska Native (AI/AN) populations report poor physical and mental health outcomes while tribal health providers and the Indian Health Service (IHS) operate in a climate of significant under funding. Understanding how the Patient Protection and Affordable Care Act (ACA) affects Native American tribes and the IHS is critical to addressing the improvement of the overall access, quality, and cost of health care within AI/AN communities. This paper summarizes the ACA provisions that directly and/or indirectly affect the service delivery of health care provided by tribes and the IHS.
美国印第安人和阿拉斯加原住民（AI/AN）群体的身心健康状况不佳，而部落医疗服务提供者和印第安卫生服务局（IHS）却在资金严重不足的环境中运作。了解《患者保护与平价医疗法案》（ACA）如何影响美国原住民部落和印第安卫生服务局，对于改善AI/AN社区医疗保健的整体可及性、质量和成本至关重要。本文总结了ACA中直接和/或间接影响部落和印第安卫生服务局提供医疗服务的条款。
